I thank all who have made it possible for me to write this history by giving me an opportunity to be a part of it. I also thank Ann Polin, Carolyn Coffin, and Jean Lea Spitz for assistance. Abbreviations ACR, American College of Radiology; AIUM, American Institute of Ultrasound in Medicine; AMA, American Medical Association; ARDMS, American Registry of Diagnostic Medical Sonographers; ASE, American Society of Echocardiography; ASUTS, American Society of Ultrasound Technical Specialists; CAHEA, Committee on Allied Health Education and Accreditation; JRCDMS, Joint Review Committee on Education in Diagnostic Medical Sonography; SDMS, Society of Diagnostic Medical Sonographers/Society of Diagnostic Medical Sonography; SVT, Society of Vascular Technology; WFUMB, World Federation for Ultrasound in Medicine and Biology ne of the most important questions to be answered when writing a history of the profession is where to begin. Pythagoras certainly played a role when he observed the relationship between sound pitch and frequency, but he did not make this observation related to medicine. John William Strutt, the third Baron Rayleigh, one of the few members of nobility to also be an outstanding scientist and 1904 Nobel Prize winner, published among many works the Theory of Sound. Christian Doppler lent his name to the Doppler effect, something we use every day when performing sonographic procedures. But many think that the true conception of ultrasound occurred in 1880 with the discovery of piezoelectricity by the French physicist Pierre Curie. Along with his brother Jacques, he performed experiments that showed that when certain crystals are subjected to an electrical field, they can be made to expand and contract, converting electrical into mechanical energy. These piezoelectric crystals can then act as both transmitters and receivers of sound. Since the early days of medicine, there has been a great desire to “see” inside the body. This is what drove Roentgen to develop x rays in 1895, Helmholtz the ophthalmoscope in 1851, Garcia the laryngoscope in 1854, and Nitze the cystoscope in 1876. Sound was first applied to the human body through auscultation in 1761 and the stethoscope in 1819, and interpreting these sounds required imagination, as did interpreting the early sonographic images. In the beginning, Doppler ultrasound was also strictly an analysis of audible sound.1,2 The use of ultrasound in medicine is similar to many technologic advances that owe their fame to war. The French government asked Paul Langevin, PhD, to develop a device capable of detecting submerged enemy submarines. The device he developed used the piezoelectric effect, which he had learned as a student with the Curies. He used quartz crystals and vacuum tube amplifiers, which were also used with early medical ultrasonic transducers. This was considered the first ultrasonic device. This research was not completed in time to be applied to the war effort. However, it did form the basis of sound navigation ranging (SONAR) detection, which was further developed during the Second World War.1,2
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